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Nursing Alumni of Distinction Nomination Form
Notes for Nominators:
All letters of support are confidential and will be viewed only by members of the Selection Committee.
It is recommended that the nomination remain confidential and not shared with the nominee.
Posthumous nominations will not be accepted.
Bullet points are preferred.
We look forward to receiving your nomination.
Nominee Information
Name of Nominee
Degree and Year of Graduation (if known)
Address
City
Country
Postal Code
Email
Current Telephone Number
This Nominee is being submitted for:
Nursing Alumni of Distinction Award
Rising Star Award
Nominator Information
Name
Address
City
Country
Postal Code
Email
Current Telephone Number
Relationship to Nominee
1. Your reasons for nominating the candidate, as related to the award criteria.
2. A description of the candidate’s accomplishments, successes and contributions pertaining to the award.
3. Any other information about the candidate that might assist the Nursing Alumni Chapter.
4. Please attach letters of support. (2 maximum)
5. Optional - Please attach a current C.V. if available.
Please submit the full nomination package by June 15th.
Direct any questions about the awards to
Natalie Devereux
, Alumni Engagement Officer.
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